Abstract
INTRODUCTION: Borderline personality disorder (BPD) is associated with signifi cant difficulties in emotional regulation and a higher prevalence of nightmares, which increase emotional instability and decrease quality of life. Dreams repre sent valuable therapeutic material that can reveal internal conflicts and support self-awareness. OBJECTIVE: This article explores dreamwork in group schema therapy (GST) aimed at the early maladaptive schemas (EMS) and modes. The ultimate goal of these approaches is to support the Healthy Adult mode in processing the emotional needs of patients with BPD. METHODS: TThe article presents the theoretical foundations and therapeutic techniques, including imagery, dream rescripting, chairwork, and amplification of dream images. Case vignettes illustrate how dreamwork can help recognise and process a patient's internal conflicts and thus aid the therapy process.RESULTS: Dreamwork in GST helps patients better understand their emotional needs and schemas. The increased awareness helps to modify dysfunctional behaviour and improve emotional stability. The group therapy format allows patients to share their experi ences and receive support from others, which increases the feeling of belonging and security. DISCUSSION: Dreamwork in GST creates a safe space for processing internal conflicts related to EMS and connections with real possibilities in the patient's life. Dreamwork also brings challenges, such as the risk of slipping into intellectualisation or being over whelmed by strong emotions and unable to resolve impactful dreams. Dedicated courses and research are needed to warrant effective implementation and elabo ration of these methods. CONCLUSION: Dreamwork in GST might be an effec tive tool for promoting self-awareness, processing emotional conflicts, and strengthening the Healthy Adult and Kind Parent modes.
| Original language | English |
|---|---|
| Pages (from-to) | 221-231 |
| Number of pages | 11 |
| Journal | Neuroendocrinology Letters |
| Volume | 46 |
| Issue number | 4 |
| Publication status | Published - 2025 |
OECD Field of Science
- 3.2 Clinical Medicine
Keywords
- Borderline personality disorder
- Chairwork
- Dreams
- Emotional regulation
- Group therapy
- Healthy Adult mode
- Imagery rescripting
- Nightmares
- Schema therapy
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